Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,370.32 / $7,943.28	Facility		$1,230.27	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $2,137.96	Professional		$707.95	$1,023.29	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $2,187.76	Professional		$1,737.80	$1,949.84	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $3,235.94	Professional		$758.58	$1,174.90	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $7,244.36	Facility		$1,230.27	$2,187.76	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,905.46 / $3,715.35	Professional		$933.25	$1,905.46	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $3,162.28	Professional		$1,778.28	$2,187.76	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,187.76	Professional		$1,659.59	$1,659.59	$2,187.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,445.44 / $1,905.46	Professional		$812.83	$1,445.44	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,819.70 / $2,818.38	Professional		$891.25	$1,819.70	$2,818.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $1,905.46	Professional		$1,288.25	$1,621.81	$1,905.46